P Praxis·MD
● Active Type 1 · Individual

Jesse Blair Eason, PA-C

Physician Assistant·Valdosta, GA· NPI 1659666063 · Enumerated 2011 · 14 years on NPI
Eason is 1 of 2 physician assistant providers in Valdosta and 1 of 1333 in Georgia.
NPI age
14 years
Enumerated 2011-06-14
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-01-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1333 active physician assistant providers in Georgia.

NPI age
14 years
≈ at median (15 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties

NPI lifetime · 2011 → 2026

2011-06Enumerated in NPPES
2011 2026

Where they practice

Practice location
2501 N Patterson St
Valdosta, GA 316021735
📞 2293331110
Mailing address
4904 Princess Dr
Lake Park, GA 316363120
📞 2296308658

Specialties

  • Physician Assistant Primary
    Definition to come...
    GA license #6090 taxonomy 363AM0700X

Identifiers

TypeValueNotes
05 (GA) 003111610A

Practice context

Part of a multi-provider practice. 194 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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